• 보건교육건강증진학회지
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• 제8권2호
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• pp.34-51
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• 1991

In the research and analysis for survey practice on stability on the nutrition intake relities to an affect influence factor for variable reason to discovers dweller in cities area which is in order to prevent an unfortunately influence that thus obviously restricted by nutrition intake would be restoration. And then attempted to avhivement of stability fulfil to correct nutrition intake needed under the establish for effectiveness measured to provide the primary required resources be considerations must accomplish certain survey of goals. Therefore subject of criticism for survey was conducted during January 4 1990 to January 24 1990 through 20 days adapted place were Seoul, Taegu and Pohang cities dweller 1206 person be conducted under the expert survey personnel by directly the survey was conducted with the questional form has atapted for its survey conclusion of result be summarixed as bellow. 1) The subject of criticism for survey was ferformed to personnel adapted age group 40 to 49 were 24.9%, Age group 50 to 59 were 18.4% shows most adult group has significant higher value rate appearenced. In consideration the education level were evaluated the college grauated ; 48.8% and High School graduated: 30.1% shows that more educated level has significant higher rate value were appearenced. 2) On the subject of criticism to evaluation for adapted personnel by native place such as larger citypeople ; 29.6%, Farming and fishing village people were 28.4%, although the classfication of job analysis for estimation appearence rate were ; students 27.4%, Sales and service field personnel rate ; 15.1% and expert technique field personnel were ; 90% comprehensively appearenced. Although consideration for ecnomics situation review to the middle level shows of rate ; 61.7% and lower level was appearenced rate ; 23.9% of each others. 3) The people of resident in cities were appearenced nutrition intake has more than 2 weeks continuousely practiced by experiance rate shows ; 72% thus intake has experianced rate were 74.6% and female was 68.5% affact is comprehensively male has more many higher rate valued. In the classfication by age group 60 year old has 100% they have experiaced of nutrition intake and age group 50 to be appearenced its rate ; 76.4 % and age group 40 were 75.5% Thus result of survey for comparative rate shows in generally say more aged group has intake significant higher than younger age of group. Nevertheless, age group 10 years old be experienced of nutrition of intake rate ; 63.2% and age group 20 shows 73.9% was comparative more significant higher than age group 30 years old level adolescents.

• 한국환경보건학회지
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• 제6권1호
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• pp.1-9
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• 1979

An experimental study was carried out to develop a rural type toilet of which the effluent could not transmit parasitic diseases at a village in Kangwon Province, Korea, during the period of January through December 1978, A drum tank (dia. 57cm$\times$90cm) and a cement tank (100cm$\times$100cm$\times$100cm) were filled with human excreta collected from toilets of the villages (the ratio of feces to urine was estimated approximately 1: 5) at once and three threecompartment toilets were constructed and used by people. pH, temperatures and viability of parasitic eggs were examined with the content of toilets. Rusults are summarized as follows: 1. pH increased from 7.0 at the beginning of experiment to 7.5 or 8.0 after 4 months of storage in drum tank as well as in cement tank and so did from 7.0~7.5 in the first tank to 8.0~8.5 in the third tank of all three-compartment toilets. 2. Temperatures of content at middle part of toilets in January through March ranged from 2 to 6$\circ$C which were 2-4$\circ$C higher than those of air, and those of lower part were again 1~2$\circ$C higher than of middle part. but temperatures of air, at middle part andat lower part in April were 14$\circ$C, 9~10$\circ$C and 8~9$\circ$C respectively, in July 29$\circ$C, 20~21$\circ$C and 19~20$\circ$C respe ctively and in October 17$\circ$C, 14$\circ$C and 14~13$\circ$C respectively. 3. All the parasitic eggs were degenerated about 4 months after filling drum tank with human excreta on 10th April while 10% of eggs were degenerated on 15th May, and all the eggs were degenerated about 4 months after filling cement tank on 24th August while about 10% were degenerated on 11th September and 20% on 4th October. 4. Degeneration rates of eggs were only 5~15% at 5cm below surface in the first tanks of three-compartment toilets while 45~65% at 50cm below, and concentration rates of eggs in second tanks were 8~12% of those in first tanks and only a few eggs were found in third tank but all of them were degenerated. Specific gravity of liquid of 1.022~1.024 in second tanks was not enough for overflowing eggs into third tanks.

• 농촌의학ㆍ지역보건
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• 제44권1호
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• pp.1-10
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• 2019

이 연구는 국내의 대표적인 가을철 발열성 질환으로 고위험군 중 재배농업인을 대상으로 선택하여 가을철 발열성 질환에 감염실태와 위험요인, 인지도을 조사하여 질병에 대한 증거기반에 전략을 제공하고자 이 연구를 수행하게 되었다. 농업인 감염병 실태조사 방법은 지역사회에 일부 재배농업인 841명을 혈청학적 검사와 설문조사를 시행하였고, 혈청학적 기준은 수동혈구응집법과 면역크로마토그래피법으로 시행되었다. 혈청감염에 영향을 주는 일반적 특성으로는 쯔쯔가무시증이 나이가 증가할수록 혈청반응이 증가하였고, 렙토스피라증은 과거병력과 가족병력이 혈청반응이 유의하게 높았다. 그리고 신증후군출혈열은 종사기간이 증가할수록 혈청반응이 증가하였다. 또 다른 결과로는 혈청감염에 영향을 미치는 위험요인으로는 쯔쯔가무시증은 진드기에 물린 적이 있는 경우 혈청반응이 높았고, 렙토스피라증은 과수재배 관련된 일을 하는 경우 혈청반응이 높았다. 또한 신증후군출혈열은 비닐하우스 관련된 일을 한 적이 있는 경우 혈청반응이 높았다. 결론적으로 취악한 직업인 재배농업인 감염병에 대한 인식 형성 할 수 있도록 정부에서 효율적이고 효과적인 방법을 개발해야 할 것이다. 그리고 질병에 대한 조기 발견과 치료로 합병증 없이 건강한 삶을 살 수 있도록 주민들 인식에 영향을 줄 수 있는 교육과 홍보 그리고 질병 특성에 맞는 특정 예방 전략을 개발해야 할 것으로 생각한다.

• 한국노년학
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• 제25권2호
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• pp.109-126
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• 2005

본 연구는 65세 이상 노인에게 공공의 사회보장부문에서 제공하는 사회적 급여를 사회복지비용이라 정의하고, 노인의 농업노동 참여가 사회복지비용 지출에 어떻게 영향을 미치며 농업노동 참여여부에 따라 1인당 그리고 한 해 사회복지비용 지출이 얼마나 차이가 있는지를 파악하고자 하였다. 이를 위하여 노인의 소득·의료보장을 위해 지출된 2003년도 교통수당, 경로연금, 국민기초생활보장 생계급여와 의료급여, 국민건강보험급여 등 생계지원비 및 의료지원비를 37개 동·읍·면사무소와 국민건강보험공단에 자료제공 협조를 요청하여 만 65세 이상 노인 799명에 대한 원자료를 수집·활용하였다. 65~74세, 75~84세, 85세 이상 등 3개 연령집단별로 분석한 결과, 첫째, 생계지원비 및 의료지원비 모두 모든 연령집단에서 농업노동에 참여한 노인보다 농업노동을 하지 않았던 노인에게 더 많이 지출되었다. 노인 1인당 차액은 연령집단에 따라 약간 차이가 있었는데 생계지원비는 113,959~361,132원, 의료지원비는 15,644~51,418원이었다. 둘째, 노인의 농업노동 참여여부는 65~74세, 75~84세 연령집단의 생계비 지출에, 65~74세 연령집단의 의료지원비 지출에 유의미한 영향을 미치는 것으로 나타났다. 이 결과를 기초로 하여 노년기 농업노동 참여에 따른 한 해 사회복지비용 절감액을 산출한 결과, 2003년도 기준 1304억원이었다.

• Journal of Preventive Medicine and Public Health
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• 제5권1호
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• pp.57-95
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• 1972

This study was conducted to assess the effectiveness of service by maternity aids concerning maternal and child health in improving simultaneously infant mortality, contraception and vital registration among expectant mothers in rural Korea, where there is less apportunity for maternal and child health care. It is unrealistic to expect to solve this problem in rural Korea through professional persons considering the situation of medical facilities and the socioeconomic condition of residents. So, we intended to adopt a system of services by maternity aids who were educated formally among indigenous women. After the women were trained in maternal and child health, contraception, and registration for a short period, they were assigned as a maternity aids to each village to help with various activities concerning maternal and child health, for example, registration of pregnant women, home visiting to check for complications, supplying of delivery kits, attendance at delivery, persuasion of contraception, and invitation for registration and so on. Mean-while, four researchers called on the maternity aids to collect materials concerning vital events, maternal child health, contraception and registration, and to give further instruction and supervision as the program proceeded. A. Changes of women's attitude by services of maternity aid. Now, we examined to what extent' such a service system to expectant mothers affected a change in attitude of women residing in the study area as compared to women of the control area. 1) In the birth and death places, there were no changes between last and present infants, in study or control area. 2) In regard to attendants at delivery, there were no changes except for a small percentage of attendance (8%) by maternity aid in study area. But, I expect that more maternity sids could be used as attendants at delivery if they would be trained further and if there was more explanation to the residents about such a service. 3) Considering the rate of utilization of sterilized delivery kit, I am sure that more than 90 percent would be used if the delivery kit were supplied in the proper time. There were significant differences in rates between the study and the control areas. 4) Taking into consideration the utilization rate of the clinic for prenatal care and well baby care, if suck facilities were installed, it would probably be well utilized. 5) In the contraception, the rate of approval was as high as 89 percent in study area as compared to 82 percent in the control area. 6) Considering the rate of pre-and post-partum acceptance on contraception were as much as 70 percent or more, if motivation to use contraception was given to them adequately, the government could reach the goals for family planning as planned. 7) In the vital registration, the rate of birth registration in the study area was some what improved compared to that of the control area, while the rate of death registration was not changed at all. Taking into account the fact that the rate of confirmation of vital events by maternity aids was remarkably high, if the registration system changed to a 'notification' system instead of formal registration ststem, it would be improved significantly compared to present system. B. Effect of the project Thus, with changes in the residents' attitude, was there a reduction in the infant death rate? 1) It is very difficult problem to compare the mortality of infants between last and present infants, because many women don't want to answer accurately about their dead children especially the infants that died within a few days after birth. In this study the data of present death comes from the maternity aides who followed up every pregnancy they had recorded to see what had happened. They seem to have very reliable information on what happened in first few weeks with follow up visitits to check out later changes. From these calculaton, when we compared the rate of infant death between last and present infant, there was remarkable reduction of death rate for present infant compare to that of last children, namely, the former was 30, while the latter 42. The figure is the lowest rate that I have ever heard. As the quality of data we could assess by comparing the causes of death. In the current death rate by communicable disease was much lower compare to the last child especially, tetanus cases and pneumonia. 2) Next, how many respondents used contraception after birth because of frequent contact with the maternity aid. In the registered cases, the respondents showed a tendency to practice contraception at an earlier age and with a small number of children. In a comparison of the rate of contraception between the study and the control area, the rate in the former was significantly higher than that of the latter. What is more, the proportion favoring smaller numbers of children and younger women rose in the study area as compared to the control area. 3) Regarding vital registration, though the rate of registration was gradually improved by efforts of maternity aid, it would be better to change the registration system. 4) In the crude birth rate, the rate in the study area was 22.2 while in the control area was 26.5. Natural increase rate showed 15.4 in the study area, while control area was 19.1. 5) In assessment of the efficiency of the maternity aids judging by the cost-effect viewpoint, the workers in the Medium area seemed to be more efficiency than those of other areas.

• Journal of Preventive Medicine and Public Health
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• 제22권2호
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• pp.290-301
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• 1989

This is preliminary report on anthrax epidemic occurred in an island with about 100 residents. Since 1982 there had been sudden deaths among all kinds of domestic animals including cattle, dogs, ducks, chicken and goat but only a few among cats in an isolated island about three hours distance away by ferry boat from Mokpo city. From 1986 through 1988 nine human deaths and four patients occurred, which made the government intervene for investigation on June 25 1988. The epidemiological investigation consisted of interview survey and medical examination, medical record analysis, laboratory work to isolate the pathogens under the direction of hypothesis derived from the study and further confirmation of the pathogens by international institute. The summarized results are as followings: 1. According to the interview survey there were many deaths among domestic animals usually in cold and dry season such as January through March and September through November; 36 heads of cattle leaving one head, more than 40 hogs(all), hundreds of chicken leaving few alive, goats that had taken home from mountain and two or three cats out of around 40 had sudden deaths from 1982 till 1985, when the residents stopped to purchase and take them into the island anymore. Also there were eleven persons who had experienced the similar syndrome complex to those of admitted and expired patients and four of them revealed typical chest X-ray findings; from one of these four patients(Rho) B. anthracis is isolated. 2. Medical record on patients who had been admitted, showed common characteristics of the disease course. On admission they had either gastrointestinal or upper respiratory infection symptoms which invariably progressed to septicemic nature with pulmonary interstitial infiltration and mediastinal widening/bulging, and then to deadly acute respiratory distress syndrome. At the end stage chest X-ray revealed multiple bullous emphysema. One of another characteristics was oral ulceration with bleeding occurred in about 50% of the patients. Laboratory test results in common were leukocytosis with left shift and abnormal liver and kidney functions, particularly at the later stage of the illness. 3. Epidemiological characteristics was striking in that both mortality and incidence rates were high: the mortality rate was 8.7% average, male being three times higher than females but there was no distictive clustering by age group. The incidence rate for both sexes was 28.2% and there was no sex difference although a tendency of higher incidence among older ages was noticed. The highest mortality and incidence were observed in Won village where the first death of animal occurred and with the highest frequency among three villages of the island. 4. Among twelve bacilli species isolated from various specimens, two strains, one from patient and the other from soil where the recently died cow is hurried, were confirmed as B. anthracis by Pasteur Institute and CDC of USA(strain from soil). CDC reported that the strain did not produce capsule in bicarbonate media but reacted with the bacteriophage and one of five sera taken from the patients. Mode of transmission as well as incubation period of the agent has not been established yet, which needs further investigation in relation to the antigenic structure of the variant when it is confirmed.

• 한국식품영양과학회지
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• 제2권1호
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• pp.73-80
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• 1973

1. 정부시책(政府是策)이 크게 반영(反映)된듯 혼식(混食)과 분식(粉食)이 비교적(比較的) 잘 여행(勵行)되고는 있으나 보다 낳은 혼분식(混粉食)에 대(對)한 과학적(科學的) 의의(意義)를 철저(撤底)히 체득(體得)시켜 농가(農家)에서는 물론(勿論)이요 전체국민(全體國民)이 일치 단결(一致 團結)하여 식생활개선(食生活改善)에 앞장서도록 하는 것이 바람직하다. 이것은 곳 미식편중(米食偏重)에서 탈피(脫皮)하는 방법(方法)이요 진일보(進一步)하여 국민보건향상(國民保健向上)과 소득증대사업(所得增大事業)도 자연적(自然的)으로 이룩하게 될 지름길로도 될 수 있다고 생각되기에 더욱 강조(强調)코저 한다. 2. 체력증진(體力增進)과 두뇌(頭腦)의 개발(開發)을 위(爲)한 동물성단백(動物性蛋白)의 섭취(攝取)는 가능(可能)하면 저렴(低廉)한 식물성(두류)(植物性(豆類)) 단백(蛋白)으로 대치(代置)하고 설령물성(設令物性) 단백(蛋白)을 섭취(攝取)할 경우(境遇)라도 모쪼록이면 자가생산(축산물)품(自家生産(畜産物)品)에 의존(依存)함이 유익(有益)할 것이며 애매(曖昧)하게 근거(根據)도 없이 전통의식(傳統意識)에 사로잡인 금기식(禁忌食) 따위는 빨리 이 사회(社會)에서 버려서야 할 것이다. 3. 황구식(荒救食)으로 춘궁기(春窮期)의 생활난(生活難)을 극복(克服)한다는 것은 다행(多幸)한 일이로되 식품오염(食品汚染) 등(等) 세심(細心)한 주의(注意)와 보다 좋은 연구(硏究)가 필요(必要)하고 비농(非農)이나 영세농(零細農)일지라도 잡곡(雜穀)만은 유휴지(遊休地)나 휴경지(休耕地)를 이용(利用)하여 자급자족(自給自足)할 수 있는 방향(方向) 으로 농민(農民) 상호간(相互間)의 협조(協助)가 요망(要望)된다. 4. 식성(食性)이 좋아서 대체적(大體的)으로 무었이든지 잘 먹을수 있는 처지(處地)인데 경제적(經濟的)인 면(面)에서 여의(如意)치 않고 농번기(農繁期)에는 일반적(一般的)으로 아침 저녁에만 더운밥을 먹으며 중식(中食)은 냉반(冷飯)으로써 시간(時間)과 연료(燃料)의 절약(節約)을 꾀하는듯 하다. 결론적(結論的)으로 아직도 농촌(農村)에서는 전통의식(傳統意識)에서 탈피(脫皮)치 못하고 미신(迷信)에 젖어 있으며, 백미편식경향(白米偏食傾向)이 짙고 연중(年中) 혼분식(混粉食)을 계속(繼續)하지 못하고 아쉬움이 간절하다. 이런 점(點)이 하루빨리 시정(是定)될때 우리는 건강(健康)과 지능(知能)이 향상(向上)을 초래(招來)하고 소득증대(所得增大)를 도모(圖謀)하며, 자조자립(自助自立)할 수 있는 국민생활(國民生活)로 변모(變貌)할 수 있을 것이라 믿는다.

• 한국지하수토양환경학회:학술대회논문집
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• 한국지하수토양환경학회 1997년도 추계 국제학술심포지움 논문집
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• pp.3-31
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• 1997

Water has always played a significant role in the lives of people. In urbanised Rome, with its million people. sophisticated supply systems developed and then fled with the empire. only to be rediscovered later But it was the industrial Revolution commencing in the eighteenth century that ushered in major paradigm shifts In use and altitudes towards water. Rapid and concentrated urbanisation brought problems of expanded demands for drinking supplies, waste management and disease. The strategy of using water from local streams, springs and village wells collapsed under the onslaughts of rising urban demands and pollution due to poor waste disposal practices. Expanding travel (railways. and steamships) aided the spread of disease. In England. public health crises peaks, related to water-borne typhoid and the three major cholera outbreaks occurred in the late eighteenth and early nineteenth century respectively. Technological, engineering and institutional responses were successful in solving the public health problem. it is generally accepted that the putting of water into pipe networks both for a clean drinking supply, as well as using it as a transport medium for removal of human and other wastes, played a significant role in towering death rates due to waterborne diseases such as cholera and typhoid towards the end of the nineteenth century. Today, similar principles apply. A recent World Bank report Indicates that there can be upto 76％ reduction in illness when major water and sanitation improvements occur in developing countries. Water management, technology and thinking in Australia were relatively stable in the twentieth century up to the mid to late 1970s. Groundwater sources were investigated and developed for towns and agriculture. Dams were built, and pipe networks extended both for supply and waste water management. The management paradigms in Australia were essentially extensions of European strategies with the minor adaptions due to climate and hydrogeology. During the 1970s and 1980s in Australia, it was realised increasingly that a knowledge of groundwater and hydrogeological processes were critical to pollution prevention, the development of sound waste management and the problems of salinity. Many millions of dollars have been both saved and generated as a consequence. This is especially in relation to domestic waste management and the disposal of aluminium refinery waste in New South Wales. Major institutional changes in public sector water management are occurring in Australia. Upheveals and change have now reached ail states in Australia with various approaches being followed. Market thinking, corporatisation, privatisation, internationalisation, downsizing and environmental pressures are all playing their role in this paradigm shift. One casualty of this turmoil is the progressive erosion of the public sector skillbase and this may become a serious issue should a public health crisis occur such as a water borne disease. Such crises have arisen over recent times. A complete rethink of the urban water cycle is going on right now in Australia both at the State and Federal level. We are on the threshold of significant change in how we use and manage water, both as a supply and a waste transporter in Urban environments especially. Substantial replacement of the pipe system will be needed in 25 to 30 years time and this will cost billions of dollars. The competition for water between imgation needs and environmental requirements in Australia and overseas will continue to be an issue in rural areas. This will be especially heightened by the rising demand for irrigation produced food as the world's population grows. Rapid urbanisation and industrialisation in the emerging S.E Asian countries are currently producing considerable demands for water management skills and Infrastructure development. This trend e expected to grow. There are also severe water shortages in the Middle East to such an extent that wars may be fought over water issues. Environmental public health crises and shortages will help drive the trends.

• 대한지역사회작업치료학회지
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• 제3권1호
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• pp.1-10
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• 2013

목적 : 충남지역 일개 농촌마을에서 농작업 자세를 기초로 설계한 근골격계 질환 예방운동 프로그램이 참여자의 균형능력, 요통의 기능적 장애 수준 및 사회 심리적 스트레스에 미치는 영향을 알아보고자 하였다. 연구방법 : 충남지역 일개 마을의 농업인으로 근골격계 증상이 있는 21명에게 2008년 7월 10일부터 10월 11일까지 총 12주간, 주 1회, 회당 90분씩의 운동프로그램을 제공하였다. 운동프로그램은 농작업 자세를 고려하여 유연성 및 근력을 강화하도록 구성하였다. 참여자 중 8회 이상 출석하고 중재 전, 후 평가에 모두 참여한 13명의 자료를 기초로 균형능력, 요통의 기능적 장애 수준 및 사회 심리적 스트레스 수준을 분석하였다. 결과 : 참여자 13명은 모두 여성으로 평균 70.55(${\pm}6.78$)세였다. 참여자들은 대부분 일반 밭농사(92.3%)에 종사하고 있으며, 작업 중 통증을 주로 느끼는 부위는 허리(69.2%)와 무릎(61.5%)이었고, 전반적인 건강상태에 대해서는 46.2%가 '건강하지 않다'고 응답하였다. 균형능력은 눈뜨고 오른발서기가 중재 전 평균 9.27(${\pm}5.53$)초에서 중재 후 14.22(${\pm}5.47$)초로 유의하게 증가하였다(p<.05). 요통의 기능적 장애 수준은 평균 19.84(${\pm}6.89$)점에서 14.38(${\pm}7.58$)점으로 유의하게 감소하였다(p<.05). 그러나 사회 심리적 스트레스 수준에는 변화가 나타나지 않았다. 결론 : 밭농사를 주로 하는 여성 농업인을 대상으로 실시한 본 운동프로그램은 참여자의 균형능력 향상 및 요통의 기능적 장애의 감소에 기여하였다. 향후에는 작업특성에 따라 차별화된 운동프로그램의 효과에 대한 연구가 진전되기를 기대한다.

• Journal of Nutrition and Health
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• 제50권2호
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• pp.171-179
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• 2017

본 연구는 제 6기 2차년도 국민건강영양조사 (2014년) 자료를 이용하여 거주 지역에 따른 노인의 식생활 행태와 식품 및 영양소 섭취의 차이를 분석하였다. 대상자는 65세 이상 노인으로 건강 설문, 검진조사, 식품섭취조사에 모두 응답한 1,239명 (남 543명, 여 696명)을 선정하였으며, 거주지역에 따라 대상자를 농촌 노인 (867명)과 도시 노인 (372명)으로 분류하였다. 대상자의 끼니결식 여부, 주당 외식횟수, 영양교육 여부, 식품군별 섭취량, 영양소 섭취량을 분석하였으며, 권장섭취량 또는 충분섭취량 대비 영양소 섭취수준은 2015년 한국인 영양소 섭취기준 (KDRIs)과 비교하여분석하였다. 주요연구결과를요약하면다음과같다. 거주 지역에 따른 대상자의 조사 전날 아침, 점심식사의 결식 여부는 유의적인 차이가 나타나지 않았으나, 저녁식사의 경우 도시 노인의 결식률이 농촌 노인에 비해 유의적으로 높았으며 (p = 0.030), 주당 외식횟수도 도시 노인이 농촌 노인에 비해 유의적으로 높았다 (p < 0.001). 영양교육의 여부는 유의적인 차이가 나타나지 않았으나, 농촌, 도시 노인 모두 5% 미만이었다. 거주 지역에 따른 대상자의 식품군별 섭취량을 연령, 성별, 에너지 섭취량을 보정하여 분석한 결과, 농촌 노인의 경우, 물 (p = 0.028), 과실류 (p = 0.006), 해조류 (p = 0.040), 우유및유제품류 (p = 0.045) 섭취가 도시 노인에 비해 유의적으로 낮았다. 반면에 곡류 섭취는 도시 노인에 비해 유의적으로 높았다 (p = 0.027). 연령, 성별, 에너지 섭취량, 교육 및 소득수준을 보정하여 분석한 결과를 보아도 농촌노인의 물 (p = 0.039)과 과실류 (p= 0.006)의 섭취가 도시노인에 비해 유의적으로 낮았다. 두 지역 노인들의 영양소 섭취량을 비교해 보면, 연령, 성별, 에너지 섭취량을 보정하여 분석한 결과, 농촌 노인의 경우, 다가불포화지방산 (p = 0.025), n-6계 지방산 (p = 0.023), 인 (p = 0.039), 철 (p = 0.035), 비타민A (p = 0.009), 카로틴 (p = 0.013), 니아신(p < 0.001), 비타민 C (p = 0.004) 섭취량이 도시 노인에 비해 유의적으로 낮았다. 교육 및 소득수준까지 모두 보정한 경우에도 농촌 노인의 철 (p = 0.042), 비타민 A (p = 0.023), 카로틴 (p = 0.025), 니아신(p < 0.003), 비타민 C (p = 0.009) 섭취량이 도시 노인보다 유의적으로 낮았다. 이러한 결과는 농촌 노인들이 특히 비타민 C, 비타민 A, 카로틴, 니아신의 섭취량과 관련이 있는 과실류와 우유 및 유제품류의 섭취가 유의적으로 낮은 것과 관련이 있어 보인다. 한편 영양소섭취기준 대비 영양소 섭취수준은 농촌 노인의 경우, 비타민 A (p = 0.016), 비타민 C (p = 0.003) 섭취수준이 도시 노인에 비해 유의적으로 낮았으며, 리보플라빈, 칼륨의 섭취수준은 80% 에 미치지 못하였다. 특히 칼슘 섭취수준은 농촌, 도시 노인 모두 60% 이하였다. 이러한 영양섭취 문제는 특히 농촌 노인의 건강에 부정적인 영향을 미칠 수 있으며, 지역별 영양불균형을 초래할 수 있다. 도시, 농촌 지역의 특성에 따라 대상자들이 식품을 구입하고 이용하는 식생활행태가 다를 것이며, 이러한 식환경 특성은 대상자의 영양소 섭취에 영향을 미친다. 본 연구에서는 이러한 식생활 환경 전부를 반영하지 못한 아쉬운 점이 있으나, 두 지역에서 유의한 차이를 보였던 사회경제지표인 소득 및 교육 수준, 연령, 성별, 에너지 섭취량을 모두 반영해서 살펴보았고 이러한 점을 고려해 볼 때 여전히 농촌 노인의 식생활행태와 영양소 섭취는 도시 노인에 비해 문제가 심각함을 확인할 수 있었다. 따라서 농촌 노인의 식생활을 개선하기 위해서는 우선적으로 대상과 환경특성을 반영한 맞춤형 교육 프로그램의 개발이 필요하며, 식품이나 음식을 직접 제공하는 식생활 개선 프로그램이 마련되고활성화되어야할것이다.